Monday Memo  

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Monday, December 16, 2013
  Clinical Accuracy Spoken Here  

Depression: The Heavy
Toll of Caregiving

"It is not unusual for caregivers to develop mild or more serious depression as a result of the constant demands they face in providing care.

"Caregiving does not cause depression, nor will everyone who provides care experience the negative feelings that go with depression. But caregivers often sacrifice their own physical and emotional needs caring for loved ones and the emotional and physical experiences involved with providing care can strain even the most capable person.

"The resulting feelings of anger, sadness, exhaustion–and then guilt for having these feelings–can exact a heavy toll."

[Reference: Depression, Module E, CM Role]

  Excellence in Case Mgmt  

Depression: Apply
Chronic Care Concepts

In the process of patient identification, assessment, goal setting and problem identification, monitoring and evaluation can be utilized to address the manifestations of depression that are reflected in:

  • Poor quality of life (QOL)
  • Early mortality
  • Exorbitant costs
  • High readmission rates

Sustained cost control will occur only with meticulously coordinated care that prevents avoidable complications and hospital readmissions for patients with depression, a chronic illness.

[Reference: Depression, Module E, CM Role]

  Improving Patient Care...  

Depression: Take a Walk,
Feel Better

Numerous studies stretching back to 1981 concluded that regular exercise can alleviate symptoms and improve mood in people with mild to moderate depression. It also may play a supporting role in treating severe depression.

How? The positive impact of exercise on depression is mostly attributed to an increase in serotonin, norepinephrine and endorphins in the brain.

For many years experts have known that exercise enhances the action of circulating endorphins. Endorphins improve immunity and reduce the perception of pain. They may also serve to improve mood. Exercise also stimulates the neurotransmitter norepinephrine, which may directly improve mood.

[Reference: Depression, Module C, Non-Pharma Treatment]


Tom RasmussenTom Rasmussen
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